Organization
RUSHING FAMILY DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA RUSHING DMD (OWNER/DENTIST)
(601) 936-3430
Entity
Organization
Contact information
Practice address
3738 FLOWOOD DRIVE, FLOWOOD, MS 39232
(601) 936-3430
(601) 936-3431
Mailing address
3738 FLOWOOD DRIVE, FLOWOOD, MS 39232
(601) 936-3430
(601) 936-3431
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3276
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04735320
—
MS
01
—
1614718
UNITED CONCORDIA
—
01
—
194169
UNITED HEALTHCARE
—
Enumeration date
11/06/2006
Last updated
06/30/2021
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